بررسی اثر سن، یائسگی، دیابت، نوشیدن مایعات و اجرای ورزش منظم بر بی اختیاری ادراری در زنان چاق بر اساس شاخص های آنتروپومتریک

نوع مقاله : مقاله پژوهشی

نویسندگان

1 دانشجوی کارشناسی ارشد فیزیوتراپی، گروه فیزیوتراپی، دانشکده علوم توانبخشی، دانشگاه علوم پزشکی ایران، تهران، ایران

2 کارشناس ارشد فیزیوتراپی و دکتری فیزیولوژی، استادیار گروه علوم پایه توانبخشی، دانشکده علوم توانبخشی، دانشگاه علوم پزشکی ایران، تهران، ایران

3 دکتری تخصصی فیزیوتراپی، گروه فیزیوتراپی، دانشکده علوم توانبخشی، دانشگاه علوم پزشکی ایران، تهران، ایران

4 دانشیار گروه فیزیوتراپی، دانشکده ی علوم توانبخشی دانشگاه علوم پزشکی ایران، تهران، ایران

چکیده

مقدمه و اهداف
بی­اختیاری ادراری از جمله اختلالات کف لگن بوده که کیفیت زندگی افراد مبتلا را تحت تاثیر قرار می­دهد. زایمان طبیعی و بارداری از مهم­ترین عوامل خطرزای آن بوده[1]،اما کمتر به بررسی عوامل همراه دیگر پرداخته شده است. هدف از پژوهش حاضر بررسی عوامل اثرگذار بر بی­اختیاری می­باشد.
مواد و روش ­ها
در مجموع 195 زن چاق ایرانی (91 نفر مبتلا به بی­اختیاری ادراری و 104 نفر غیرمبتلا) در محدوده سنی 25 تا 65 سال مورد مطالعه قرار گرفتند. پس از گرفتن رضایت افراد برای شرکت در طرح، تکمیل پرسش­نامه­ها و اندازه­گیری ویژگی­های آنتروپومتریک انجام شد. برای بررسی ارتباط عوامل مختلف اثرگذار بر بی­اختیاری ادراری که از طریق تکمیل پرسش­نامه­ها و داده­های آنتروپومتریک حاصل شد، از نرم­افزار آماری SPSS (نسخه 18، ساخت آمریکا) و آزمون­های آماری ANOVA، t مستقل و کای دو، در سطح معناداری 05/0≥α برای تجزیه و تحلیل داده­ها استفاده شد.
یافته ­ها
میان میانگین سن، یائسگی و اجرای ورزش منظم با بی­اختیاری ادراری ارتباط معناداری وجود داشت. سن افراد در گروه مبتلا بالاتر بود و انجام ورزش­های منظم هفتگی باعث کاهش ابتلا به بی­اختیاری ادراری می­شد؛ به طور کلی نیز میانگین شاخص­های آنتروپومتریک (مقادیر قد، وزن، BMI، دور کمر، دور باسن و نسبت دور کمر به قد) در افراد مبتلا به بی­اختیاری ادراری کمتر بود.
نتیجه­ گیری
برخلاف باور عمومی، به نظر می­رسد در زنان چاق مبتلا به بی­اختیاری ادرار پایین بودن شاخص­های آنتروپومتریک سبب تغییراتی می­گردد که احتمال بروز بی­اختیاری ادرار در آنها افزایش می­یابد و در عین حال انجام تمرینات منظم می­تواند سبب کاهش ابتلا به بی­اختیاری ادراری گردد.

کلیدواژه‌ها


عنوان مقاله [English]

Effect of Age, Menopause, Diabetes, Drinking Fluids, and Regular Exercise on Urinary Incontinence in Obese Women based on Anthropometric Indices

نویسندگان [English]

  • Seyedeh Saeideh Babbazadeh Zavieh 1
  • Behnoosh Vasaghi Gharamalaki 2
  • Afsaneh Nikjooy 3
  • Javad Sarrafzadeh 4
1 MSc student of Physiotherapy, Iran University of Medical Sciences, School of Rehabilitation Sciences, Iran, Tehran
2 MSc in Physiotherapy, PhD in Physiology, Iran University of Medical Sciences, School of Rehabilitation Sciences, Tehran, Iran
3 PhD in Physiotherapy, Iran University of Medical Sciences, School of Rehabilitation Sciences, Iran, Tehran
4 PhD in Physiotherapy, Iran University of Medical Sciences, School of Rehabilitation Sciences, Iran, Tehran
چکیده [English]

Background and Aims: Urinary incontinence is one of the most important pelvic floor disorders affecting the patients' quality of life. Although natural delivery and pregnancy are the most important risk factors, less attention is paid to the other involved factors. The aim of the present study was to investigate the factors influencing urinary incontinence in women.
Materials and Methods: A total of 195 obese women (91 cases with urinary incontinence and 104 without UI) were studied in the age range of 25 to 65 years old. After obtaining their consent to participate in the project, completion of the questionnaires and measurement of anthropometric characteristics were performed. SPSS software (version 18, USA) and ANOVA, t-test, and chi-square test were used for Data analysis (α≥ 0.05).
Results: There was a significant relationship observed between the mean age, menopause, as well as regular exercise and urinary incontinence. The mean age was higher in the affected group, and regular weekly exercise reduced the incidence of urinary incontinence. In general, the mean of anthropometric indices (height, weight, BMI, waist circumference, hip circumference, and waist to height ratio) was lower in participants with urinary incontinence
Conclusion: Contrary to the popular belief, in obese women with urinary incontinence, low anthropometric indices appear to increase the incidence of urinary incontinence and regular exercise can reduce the incidence of urinary incontinence.

کلیدواژه‌ها [English]

  • Effective factors
  • Urinary incontinence
  • Obesity
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